- In the diet should be moderate when it comes to foods rich in potassium, such as all kinds of fru

- Optimal hydration of the body. Daily diuresis (urine output in 24 hours) should never be less than about 2 liters. Lower minimum limit is 1.5 liters a day, and fluid intake should be around 0.8 liters bigger than diuresis (because the water is lost and sweat, feces, etc). Even when the patient's appearance islands around the ankles, you should not withhold water, but possibly give a diuretic. The fact is that any dehydration (eg, sweating, vomiting, diarrhea) worsen kidney function. In the case of accumulation of fluid or the appearance of islands usually give Furosemide Tablets 40 (or more) mg, the second or the third day, according to the assessment of nephrologists;
- Strict regulation of blood pressure to <130/90 mmHg. From drugs to regulate blood pressure onpow are recommended for those who are not metabolized by the kidney (avoiding load). In this sense, we prefer drugs Presolol type eg, amlodipine, or their parallels. Drugs that belong to ACE inhibitors (or ARBs) are often prescribed for hypertension and recommend, especially if there exists hypertension and microalbuminuria or proteinuria, but with these drugs should be careful because they can lead to worsening renal failure, or a rise in creatinine or potassium ( in which case they omitted and replaced with other drugs). Since these drugs Monopril example excreted via the liver and the kidney, almost everyone else is excreted only through onpow the kidneys.
- In the diet should be moderate when it comes to foods rich in potassium, such as all kinds of fruits and vegetables (approximate to 100 grams a day), because the level of potassium in the blood is regulated mainly kidneys.
- Similarly with phosphate metabolism, and it depends on the majority of renal function, but since they mainly phosphates contained in proteins, onpow one who keeps a diet with limited protein intake should not have any problems with hyperphosphatemia. (Unless, for example, brings a lot of Coca-colas and similar drinks with a lot of phosphoric acid). The recommended daily intake of phosphate and calcium, or sodium or potassium is 1-2 grams. A patient with renal failure must be informed that the store has a lot eg potassium or phosphorus, and considerably reduce the intake of these foods, while his first analysis (potassium and phosphate in the blood) does not show whether it is good or bad diet excessively held. If the diet does not help in normalizing the levels of phosphorus, it is necessary to take some drugs "binder" phosphate in the gastrointestinal tract (eg, calcium acetate or calcium carbonate: 1-2 Tablets with each meal, to assess nephrologists).
- In terms of carbon-hydrate, or calories, recommended diet of 35 kcal / kg body weight per day, and if the patient has a prescribed diabetes or hyperglycemia preference, he must adhere to diabetic child given by the competent endocrinologist, and strive to maintain strict control values glucose levels in the normal range,
- If the patient has elevated values of urate in the blood, uric acid or salt, then you must get instructions on food intake which increases the level of uric acid in serum, so if these measures are not sufficient, a kidney specialist will prescribe some medications uric acid synthesis inhibitors (eg . allopurinol)
- When it comes to fat, one must strive to have as lower LDL-cholesterol, and that higher levels of HDL-cholesterol, and to that end must be taken into account and if you need to reduce your intake of lipids, onpow so if that is not enough to take the medicine , so-called. antipsychotic agents.
- Entry of hydrophilic vitamins can be recommended, but only at doses that meet the daily needs (eg glass or Multivita Cedevita) and that will not cause hypervitaminosis. Not recommended introduction of a combination of vitamins and minerals, because some liposoluble vitamins and minerals in particular, has already accumulated in surplus during the weakening of kidney function.
- Regular control of blood tests and urine tests, once established renal failure, it should be 1-3 months, at least initially, until they gain a sense of how the trend exists in the patient. Well, if the trend is peaceful, that is, in the first 3-4 control is not deviation from the norm for most of the studied parameters, then the interval between inspections may be extended at 4-6 months. From the moment of establishing chronic renal failure should not do any more shooting with contrast (intravenous), because all of these contrast agents can significantly onpow damage the already weakened kidney function. onpow
- For compensation there are many oral iron preparations sold, but if competent nephrologists to assess the value of the control parameters of Fe status (Fe, TIBC, TSAT and ferritin) are not adequate, he may prescribe the use of Fe preparations via infusion; onpow
- In the case of pronounced anemia (anemia), competent onpow nephrologist will first turn off all event. causes blood loss, bleeding, and thereafter may prescribe medications growth stimulators erythrocytes, which compensates for the lack of fizološkog effects of erythropoietin in patients with chronic renal failure.
- Usually of Laboratory